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10. 一过性意识丧失
概 述
一过性意识丧失是由于脑供血不足所致的短暂意识丧失状态,发作时患者因肌张力消失不能保持正常姿势而倒地。一般为突然发作,迅速恢复,很少有后遗症。以下是一过性意识丧失诊治的临床路径。
表10.1 发生一过性意识丧失后进行重点评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.1_7991.jpg?sign=1734451690-JBWWeV1esqjAslQQLZQjleIDkVPINxEf-0-2d9200cd7c7dd2e650b1b1dac3b34c55)
表10.2 晕厥后的心电图
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.2_59961.jpg?sign=1734451690-Pbu6f68PcyKjPnM41Q3OXtusTBTslCsm-0-3d3bf64c121515719c6e3e68ddb4ad09)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.2_1_59962.jpg?sign=1734451690-AUQhk11OfY7FB61sCPssGQ1t7dX77RNM-0-a872a1fbd3522ea6d7f5254e70b7fb12)
注:AV,房室的;WPW综合征,沃尔夫-帕金森-怀特综合征
表10.3 全身性抽搐、血管迷走神经性晕厥及心源性晕厥(阿-斯发作)的鉴别要点
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.3_59963.jpg?sign=1734451690-loGgw4RWTvOhIyNTraTIbaITU4F6TXCk-0-ea35d6177e210fc8f2c6b4c49cf0330d)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.3_1_59964.jpg?sign=1734451690-rOOsvYJNGJEHbUDRZkICeoSUfRCr848s-0-ca68b2e3a370e07777b10cf075f25d50)
表10.4 晕厥的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.4_59965.jpg?sign=1734451690-eIH8g60GcT2Bzw7Xe6rUxnDpBBgxywDQ-0-23ec711ebd0902487e756d226cfaa035)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.4_1_59966.jpg?sign=1734451690-KuMT4ubsHhRdOGQBnxCzhb2FLvSQwzkz-0-72bd32023a037c1267a33ae251339f48)
注:TIA,短暂性脑缺血发作;境遇性晕厥:晕厥发生在咳嗽、排尿、排便或吞咽时,不伴有其他引起心电图或体格检查的明显异常
表10.5 颈动脉窦过敏的检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.5_8304.jpg?sign=1734451690-UlkyWJW6SASR1hYQruC9mpvcQ6yfN0cq-0-d042522782456ac1057abf57ccc2f9d5)